Provider First Line Business Practice Location Address:
367 E BROWN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-9101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-534-4824
Provider Business Practice Location Address Fax Number:
570-403-4306
Provider Enumeration Date:
11/19/2010